Skip to main content

Table 1 Advanced airway management in the time periods before and after a quality improvement program

From: The effect of a multi-faceted quality improvement program on paramedic intubation success in the critical care transport environment: a before-and-after study

 

2016–2017

2020–2021

Annual training

Based on needs analysis

No specific focus on advanced airway management

50% focus on advanced airway management

Simulation and skill stations

Airway equipment

Direct laryngoscope

AirTraq™ video laryngoscope

King LT™

LMA™

CMAC™ video laryngoscope with standard geometry and hyper-angulated blades

Direct laryngoscope

iGel™

Standardization

Variable across the organization

Standardized contents and layout of paramedic response bags

Standardized kit dump

Procedures

DFI encouraged

Provider’s choice of intubation strategy

push dose phenylephrine for hypotension

Checklist mandatory

Apneic oxygenation

RSI encouraged, Rocuronium for most patients, Succinylcholine also available

VL and bougie as standard first attempt

Push dose epinephrine and/or phenylephrine for hypotension